# IMG MEDICAL GROUP NJ, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174205306
- **Authorized official:** ROBERT REFOWITZ MD (PRESIDENT)
- **Authorized official phone:** (917) 334-9589

## Contact information

- **Practice address:** 201 BROAD ST STE 420, STAMFORD, CT 06901-2004
- **Practice address phone:** (917) 334-9589
- **Mailing address:** 201 BROAD ST STE 420, STAMFORD, CT 06901-2004
- **Mailing address phone:** (917) 334-9589

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 08/07/2023
- **Last updated:** 06/28/2024